Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.24 / $281.06 / $7,838.38	Facility		$189.24	$281.06	$7,838.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $133.63 / $133.63 / $156.44	Facility	54	$133.63	$133.63	$156.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $208.58 / $864.00	Professional		$144.28	$208.58	$864.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $539.67 / $879.40	Facility		$147.18	$539.67	$879.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $220.30 / $306.07	Professional		$98.56	$220.30	$306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.30 / $252.95 / $339.17	Professional		$187.30	$252.95	$339.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $99.93 / $324.37	Professional		$32.34	$99.93	$324.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.49 / $215.30 / $328.16	Facility		$160.49	$215.30	$328.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.71 / $286.68 / $373.32	Professional		$198.71	$286.68	$373.32
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.39 / $299.45 / $388.04	Professional		$197.39	$299.45	$388.04